小儿扁桃体手术麻醉中七氟醚联合丙泊酚的应用及对小儿呼吸恢复时间、意识恢复时间的影响

目的:探讨小儿扁桃体手术麻醉中七氟醚联合丙泊酚的应用及对小儿呼吸恢复时间、意识恢复时间的影响。方法:将2018年3月~2019年3月行扁桃体手术的92例患儿随机分为对照组和研究组,对照组采用氯胺酮联合丙泊酚麻醉,研究组采用七氟醚联合丙泊酚麻醉,比较两组不同时段心率、血压等情况、苏醒情况、插管条件以及疼痛程度、苏醒期躁动严重程度等情况。结果:两组麻醉前、插管时、拔管时的SPO 2无明显波动(P>0.05);研究组插管时RR低于对照组,拔管时的RR、HR、MAP均低于对照组(P<0.05);研究组气管拔管时间、意识恢复时间、呼吸恢复时间、麻醉诱导完成时间、麻醉后顺应性评分均低于对照组(P<0.05);研究组拔管即刻、拔管5min时、拔管10min时疼痛程度评分、苏醒期躁动严重程度均低于对照组(P<0.05)。结论:七氟醚联合丙泊酚麻醉方法应用在小儿扁桃体手术麻醉中,患儿可在短时间内清醒,血氧饱和度下降不明显,苏醒迅速,可控性较强,患儿滞留复苏室时间减少,此种麻醉方案值得应用。

The Application of Sevoflurane Combined with Propofol in Pediatric Tonsil Surgery Anesthesia and Its Effect on the Recovery Time of Children's Breathing and Consciousness

Objective:To investigate the application of sevoflurane combined with propofol in pediatric tonsil surgery anesthesia and its effect on the recovery time of children's breathing and consciousness.Methods:92 children who underwent tonsil surgery from March 2018 to March 2019 were randomly divided into two groups.The control group was anesthetized with ketamine and propofol,and the study group was anesthetized with sevoflurane and propofol.The heart rate,blood pressure,recovery status,intubation conditions,pain degree,and severity of restlessness during recovery period were compared between the two groups.Results:Before anesthesia,intubation and extubation,there was no obvious fluctuation in SPO 2 between the two groups(P>0.05).The RR of the study group was lower than that the control group during intubation,and the RR,HR,and MAP during extubation were all lower than those of the control group(P<0.05).The tracheal extubation time,consciousness recovery time,breathing recovery time,anesthesia induction completion time,and post-anaesthesia compliance scores in the study group were all lower than those of the control group(P<0.05).The pain scores during extubation,at 5 minutes and 10 minutes after extubation and the severity of restlessness during recovery in the study group were lower than those in the control group(P<0.05).Conclusion:Sevoflurane combined with propofol anesthesia in pediatric tonsil surgery anesthesia,children can be awake in a short time,the blood oxygen saturation is not significantly decreased,the recovery is rapid,the control is strong,the children stay in the resuscitation room is reduced,and this kind of anesthesia plan is worthy of application.